A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Reduce maternal and fetal tachycardia associated with terbutaline administration.

Suppress uterine contractions.

Stimulate fetal surfactant production.

Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.

Answer and Explanation

The Correct Answer is C

Betamethasone is a corticosteroid that enhances fetal lung maturity, which can help reduce the risk of respiratory distress syndrome and other complications in preterm infants. It does not reduce maternal and fetal tachycardia associated with terbutaline administration, suppress uterine contractions, or maintain maternal respiratory effort and ventilation during magnesium sulfate therapy.

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Correct Answer is C

Explanation

The most common indication for a vacuum-assisted delivery is a prolonged second stage of labor, which means that the mother has been pushing for an extended period without effective descent of the fetal head. The vacuum can help to provide traction to the fetal head and assist with delivery.
Option A is incorrect because a vacuum-assisted delivery is not indicated for the prevention of fetal abnormalities.
Option B is incorrect because a vacuum-assisted delivery is not indicated for the prevention of maternal hemorrhage.
Option D is incorrect because a prolonged first stage of labor is not an indication of
vacuum-assisted delivery. In this case, other interventions, such as augmentation of labor with oxytocin, may be used.

A. A G3P2 whose youngest child is 3 years old. B. A G2P1 who has had one prior lower transverse cesarean section. C. A CS4 who has had three prior lower transverse cesarean sections. D. AG4P3 whose last baby was born at term gestation.

Correct Answer is C

Explanation

A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.

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A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The most common indication for a vacuum-assisted delivery is:

Correct Answer is C

Explanation

Which of the following patients is most at risk for uterine rupture?

Correct Answer is C

Explanation

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

Which of the following is not included in the Health Planning Model?

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

A pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?

What is the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy?